Abstract：
OBJECTIVE: To identify barriers and enablers that influence engagement in and acceptability of diabetes prevention programmes for people with pre-diabetes. The results will provide insights for developing strategies and recommendations to improve design and delivery of diabetes prevention programmes with enhanced engagement and acceptability for people with pre-diabetes.
METHODS: This review used a critical realist approach to examine context and mechanisms of diabetes prevention programmes. Medline, Embase, PsycInfo, Cinahl, Web of Science, Scopus and Pre-Medline were searched for English language studies published between 2000 and 2023. A quality assessment was conducted using Joanna Briggs Institute critical appraisal tools.
RESULTS: A total of 90 papers met inclusion criteria. The included studies used a variety of quantitative and qualitative methodologies. Data extracted focused on barriers and enablers to engagement in and acceptability of diabetes prevention programmes, with seven key mechanisms identified. These included financial, environmental, personal, healthcare, social and cultural, demographic and programme mechanisms. Findings highlighted diverse factors that influenced engagement in preventive programmes and the importance of considering these factors when planning, developing and implementing future diabetes prevention programmes.
CONCLUSIONS: Mechanisms identified in this review can inform design and development of diabetes prevention programmes for people with pre-diabetes and provide guidance for healthcare professionals and policymakers. This will facilitate increased participation and engagement in preventive programmes, potentially reducing progression and/or incidence of pre-diabetes to type 2 diabetes and improving health outcomes.
METHODS: This review used a critical realist approach to examine context and mechanisms of diabetes prevention programmes. Medline, Embase, PsycInfo, Cinahl, Web of Science, Scopus and Pre-Medline were searched for English language studies published between 2000 and 2023. A quality assessment was conducted using Joanna Briggs Institute critical appraisal tools.
RESULTS: A total of 90 papers met inclusion criteria. The included studies used a variety of quantitative and qualitative methodologies. Data extracted focused on barriers and enablers to engagement in and acceptability of diabetes prevention programmes, with seven key mechanisms identified. These included financial, environmental, personal, healthcare, social and cultural, demographic and programme mechanisms. Findings highlighted diverse factors that influenced engagement in preventive programmes and the importance of considering these factors when planning, developing and implementing future diabetes prevention programmes.
CONCLUSIONS: Mechanisms identified in this review can inform design and development of diabetes prevention programmes for people with pre-diabetes and provide guidance for healthcare professionals and policymakers. This will facilitate increased participation and engagement in preventive programmes, potentially reducing progression and/or incidence of pre-diabetes to type 2 diabetes and improving health outcomes.
摘要：
目的：确定影响糖尿病前期患者参与和接受糖尿病预防计划的障碍和促成因素。结果将为制定策略和建议提供见解，以改善糖尿病预防计划的设计和交付，并增强糖尿病前期患者的参与度和可接受性。
方法：这篇综述使用了一种批判性的现实主义方法来研究糖尿病预防计划的背景和机制。Medline,Embase,PsycInfo,Cinahl,WebofScience,搜索了Scopus和Pre-Medline，以获取2000年至2023年之间发表的英语语言研究。使用JoannaBriggs研究所的关键评估工具进行了质量评估。
结果：共有90篇论文符合纳入标准。纳入的研究使用了各种定量和定性方法。提取的数据集中于参与糖尿病预防计划和可接受性的障碍和促成因素，确定了七个关键机制。这些包括金融，环境,个人,healthcare,社会和文化,人口和方案机制。调查结果强调了影响预防方案参与的各种因素，以及在规划时考虑这些因素的重要性，制定和实施未来的糖尿病预防计划。
结论：本综述中确定的机制可以为糖尿病前期患者的糖尿病预防计划的设计和开发提供信息，并为医疗保健专业人员和决策者提供指导。这将促进更多参与和参与预防方案，可能减少糖尿病前期至2型糖尿病的进展和/或发病率，并改善健康结局。
方法：这篇综述使用了一种批判性的现实主义方法来研究糖尿病预防计划的背景和机制。Medline,Embase,PsycInfo,Cinahl,WebofScience,搜索了Scopus和Pre-Medline，以获取2000年至2023年之间发表的英语语言研究。使用JoannaBriggs研究所的关键评估工具进行了质量评估。
结果：共有90篇论文符合纳入标准。纳入的研究使用了各种定量和定性方法。提取的数据集中于参与糖尿病预防计划和可接受性的障碍和促成因素，确定了七个关键机制。这些包括金融，环境,个人,healthcare,社会和文化,人口和方案机制。调查结果强调了影响预防方案参与的各种因素，以及在规划时考虑这些因素的重要性，制定和实施未来的糖尿病预防计划。
结论：本综述中确定的机制可以为糖尿病前期患者的糖尿病预防计划的设计和开发提供信息，并为医疗保健专业人员和决策者提供指导。这将促进更多参与和参与预防方案，可能减少糖尿病前期至2型糖尿病的进展和/或发病率，并改善健康结局。
